| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $977.24 | $7,762.47 | |
BCBS
| Facility | $2,754.23 | $8,912.51 | $14,125.38 | |
Providence
| Facility | $446.68 | $758.58 | $1,348.96 | |
United
| Facility | $645.65 | $6,606.93 | $16,982.44 |